Transcript Women Need Support to Breastfeed Successfully Write your Name /Organisation date and Place here Global Strategy for Infant and Young Child Feeding • Adopted by the WHA and UNICEF Executive.

Women Need
Support to
Breastfeed
Successfully
Write your Name
/Organisation date
and Place here
Global Strategy for Infant
and Young Child Feeding
• Adopted by the
WHA and UNICEF
Executive board in
2002
Life begins here ….
Optimal Infant and Young
Child Feeding
• Starting breastfeeding
within one hour of birth
• Exclusive breastfeeding
for the first six months
• Introducing appropriate
and adequate
complementary feeding
after 6 months along
with Continued
breastfeeding for two
years or beyond
Science
Support
Risk of neonatal mortality
according to time of
initiation of breastfeeding
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0
4.2
Six times more risk of death
2.3
0.7
2.6
1.2
With in 1 From 1 hour
hour
to end of day
1
Pediatrics 2006;117:380-386
Day 2
Day 3
After day 3
Deaths attributed to sub-optimal
breastfeeding among children
60
55
53
50
40
30
20
20
18
10
0
Lower
Respiratory
Trach (LRT)
Diarrhoeal
Diseases (DD)
Public Health Nutr. 2006 Sep; 9(6): 673-85
0-6 months
6-12 months
Impact of Suboptimum
breastfeeding on child mortality
and DALYs
77%
(1.06
million)
Due to Non- EBF
1.4 million deaths due to suboptimum breastfeeding
85% (37
million)
Due to Non- EBF
43.5 million DALYs due to suboptimum breastfeeding
Long term effects
• Subjects who were
breastfed experienced
lower mean blood
pressure and total
cholesterol, as well as
higher performance in
intelligence tests.
Prevalence of
overweight/obesity
and type-2 diabetes
was lower among
breastfed subjects.
• A 2007 WHO
Publication
Exclusive breastfeeding Reduces
HIV Transmission Risk
12
11
Hazard Ratio
10
8
6
4
2
0
1
Exclusive
Breastfeeding
Lancet , 31 March 2007
2
Breastmilk +
Formula
Breastmilk +
Solids
What women need to
succeed?
Breastfeeding education and support
• Accurate and un- biased information to all
family members, community
• One to one counselling during pregnancy
• At birth support to begin breastfeeding
• Counselling, home visits, and support to
maintain exclusive breastfeeding , like support
on positioning and nutrition
• Counselling for complementary feeding
• Counselling to prevent breastfeeding problems
and take care if they do arise
• Referral for breastfeeding problems like breast
engorgement, sore nipples, not enough milk,
and breast infection.
Women All Over the World Need Support
Women at work …need
support Crèches etc.
What matters
to succeed
Successful Breastfeeding…
Breastfeeding in the Correct Position
• Milk producing
glands
• Lactiferous canaliculi
• Lactiferous sinuses
• Myoepithelial tissue
• Adipose tissue
Anatomy of the Breast
Signs of Correct
Attachment
• Mouth wide open
• Lower lip is turned
outside
• Chin touching the breast
• Black part of the breast
not visible below the
lower lip
• Large black portion of
breast and nipple
including milk collecting
ducts are inside baby’s
mouth
• Tongue under the teat
Incorrect Sucking
Position
• Mouth is not wide
open
• Chin is away from
the breast
• Baby is sucking only
nipple
• Most black portion
of the breast is
outside the baby’s
mouth
• Tongue away from
the teat
Causes of Incorrect
Attachment
• Use of feeding bottles. Leads to
nipple confusion
• Inexperienced mother
• Functional difficulty with the
mother or the baby
• Lack of skilled support
Breastmilk Production
The Prolactin reflex
Prolactin
in blood
Sensory Impulses
from nipple
• More prolactin
secreted at night
Baby
sucking
• Secreted after feed
to produce next
feed
• Suppresses
ovulation
Breastmilk Transfer
The Oxytocin reflex
Oxytocin
in blood
Baby
sucking
Sensory Impulses
from nipple
• Works before or during
feed to make milk flow
• Makes uterus contract
Breastmilk Transfer
How does the mother’s
confidence play part
Thinks lovingly
of baby
CONFIDENCE
Sound of baby
Sight of baby
Pain
Worry
Stress
Doubt
The Feeling of “Not
Enough Milk”
Not true. Just a perception, this is
not a disease entity, just a
symptom of underlying problem.
You need to know from the mother,
why she feels that her baby is not
getting enough, and can solve her
problems by
• Reinstating mother’s confidence
• Ensure frequent, effective suckling
Women need help of
this kind…
Which children grow
healthy and achieve
development potential?
• Well nourished mothers
• Exclusively breastfed for the first six months,
begin breastfeeding within an hour
• Enough and right food to eat later
– Complementary feeding ,continued breastfeeding
• Cared well
• Hygiene and sanitary environment
• Treated when sick
One way to Support is
to Sign up
Mum power: The friends from ante-natal
class converge on McDonald's for the feedin. Maddie Reynolds is fourth from the left
Make
breastfeedin
g visible, and
more widely
available !!
Thank
you
The First Lady of Timor Leste at 7th Ministerial Consultation on Children